Mental Health Nursing Exam Practice Tests
Course Introduction
Mental Health Nursing explores the principles and practices essential for providing effective care to individuals experiencing mental health challenges. The course covers foundational theories of mental health, assessment techniques, therapeutic communication skills, and evidence-based interventions used by mental health nurses. Students will learn about the roles and responsibilities of nurses in various mental health settings, including community, inpatient, and emergency care. Emphasis is placed on promoting recovery, advocating for patient rights, fostering therapeutic relationships, and addressing the stigma associated with mental illness. The course also examines legal, ethical, and cultural considerations in mental health nursing practice.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan Halter
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37 Chapters
1052 Verified Questions
1052 Flashcards
Source URL: https://quizplus.com/study-set/1167
Page 2
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23083
Sample Questions
Q1) Which disorder is a culture-bound syndrome?
A) Epilepsy
B) Schizophrenia
C) Running amok
D) Major depression
Answer: C
Q2) Which findings are signs of a person who is mentally healthy? Select all that apply.
A) Says, "I have some weaknesses, but I feel I'm important to my family and friends."
B) Adheres strictly to religious beliefs of parents and family of origin
C) Spends all holidays alone watching old movies on television
D) Considers past experiences when deciding about the future
E) Experiences feelings of conflict related to changing jobs
Answer: A, D, E
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Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient in an asylum in the mid-1800s in Canada. What would the nurse expect to implement?
A) Assisting with eating and dressing
B) Group therapy interventions
C) Electroconvulsive therapy
D) Antipsychotic medication administration
Answer: A
Q2) The first asylum in Canada was in which of the following provinces?
A) Alberta
B) Quebec
C) Ontario
D) British Columbia
Answer: B
Q3) The Canadian National Association of Trained Nurses was established in which of the following years?
A) 1898
B) 1908
C) 1918
D) 1928
Answer: B
Page 4
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which comments by an elderly person best indicate successful completion of the developmental task? Select all that apply.
A) "I am proud of my children's successes in life."
B) "I should have given to community charities more often."
C) "My relationship with my father made life more difficult for me."
D) "My experiences in the war helped me appreciate the meaning of life."
E) "I often wonder what would have happened if I had chosen a different career."
Answer: A, D
Q2) A psychotherapist works with an anxious, dependent patient. Which strategy is most consistent with psychoanalytic psychotherapy?
A) Identifying the patient's strengths and assets
B) Praising the patient for describing feelings of isolation
C) Focusing on feelings developed by the patient toward the therapist
D) Providing psychoeducation and emphasizing medication adherence
Answer: C
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Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23086
Sample Questions
Q1) An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
A) H<sub>1</sub>
B) 5 HT<sub>2</sub>
C) Acetylcholine
D) Gamma-aminobutyric acid (GABA)
Q2) Which instruction has priority when teaching a patient about clozapine (Clozaril)?
A) "Avoid unprotected sex."
B) "Report sore throat and fever immediately."
C) "Reduce foods high in polyunsaturated fats."
D) "Use over-the-counter preparations for rashes."
Q3) A nurse can anticipate anticholinergic adverse effects are likely when a patient takes which of the following:
A) Lithium carbonate (Carbolith)
B) Buspirone hydrochloride (Bustab)
C) Imipramine hydrochloride (Impril)
D) Risperidone (Risperdal)
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Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/23087
Sample Questions
Q1) The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? Select all that apply.
A) Clear risk of danger to self or others
B) Adjustment needed for doses of psychotropic medication
C) Detoxification from long-term heavy alcohol consumption needed
D) Respite for caregivers of persons with serious and persistent mental illness
E) Failure of community-based treatment, demonstrating need for intensive treatment
Q2) Clinical pathways are used in managed care settings to do which of the following?
A) Stabilize aggressive patients
B) Identify obstacles to effective care
C) Relieve nurses of planning responsibilities
D) Streamline the care process and improve outcomes
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/23088
Sample Questions
Q1) A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.
A) "Thank you. I would enjoy having a cup of coffee with you."
B) "Thank you, but I would prefer to proceed with the assessment."
C) "No, but thank you. I never accept drinks from patients or families."
D) "Our agency policy prohibits me from eating or drinking in patients' homes."
Q2) Which level of prevention activities would a nurse in an emergency department employ most often?
A) Primary
B) Secondary
C) Tertiary
Q3) Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?
A) Medication follow-up
B) Teaching parenting skills
C) Substance abuse counselling
D) Making a referral for family therapy
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23089
Sample Questions
Q1) A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?
A) If the patient's immunizations are current
B) The patient's religious preferences
C) The patient's specific ethnic group
D) Whether a translator is needed
Q2) A First Nations patient describes a difficult childhood and dropping out of high school. The patient used many recreational substances as a teenager to escape feelings of isolation but stopped 13 years ago. The patient now says, "I feel stupid. I've never had a good job. There is nothing that I am good enough at doing to be able to work." Which nursing diagnosis applies?
A) Risk for other-directed violence
B) Chronic low self-esteem
C) Deficient knowledge
D) Social isolation
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Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23090
Sample Questions
Q1) Two hospitalized patients fight whenever they are together. During a team meeting, a nurse asserts that safety is of paramount importance, so treatment plans should call for both patients to be secluded to keep them from injuring each other. This assertion does which of the following?
A) Reinforces the autonomy of the two patients
B) Violates the civil rights of both patients
C) Represents the intentional tort of battery
D) Correctly places emphasis on safety
Q2) A patient in alcohol rehabilitation reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.
A) Report the abuse to the local child welfare agency.
B) Reply, "I'm glad you feel comfortable talking to me about it."
C) File a written report with the agency's ethics committee.
D) Respect nurse-patient relationship confidentiality.
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23091
Sample Questions
Q1) A patient diagnosed with major depression has lost 9 kilograms in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention has the highest priority?
A) Implement suicide precautions.
B) Offer high-calorie snacks and fluids frequently.
C) Assist the patient to identify three personal strengths.
D) Observe patient for therapeutic effects of antidepressant medication.
Q2) After formulating the nursing diagnoses for a new patient, what is a nurse's next action?
A) Designing interventions to include in the plan of care
B) Determining the goals and outcome criteria
C) Implementing the nursing plan of care
D) Completing the spiritual assessment
Q3) What does the nurse assess when completing the final "S" of the HEADSSS Psychosocial Interview Technique?
A) Suicide risk
B) Savagery
C) Sexuality
D) Social support
Page 11
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Chapter 10: Therapeutic Relationships
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23092
Sample Questions
Q1) As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?
A) Recognize the effectiveness of the relationship and patient's thoughtfulness. Accept the card.
B) Inform the patient that accepting gifts violates policies of the facility. Decline the card. C) Acknowledge the patient's transition through the termination phase but decline the card.
D) Accept the card and invite the patient to return to participate in other arts and crafts groups.
Q2) A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response?
A) "Why are you asking me when you're able to speak for yourself?"
B) "I will be glad to address it when I see your doctor later today."
C) "That's a good topic for you to discuss with your doctor."
D) "Do you think you can't speak to a doctor?"
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Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23093
Sample Questions
Q1) A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
A) "What are the common elements here?"
B) "Tell me again about your experiences."
C) "Am I correct in understanding that . . ."
D) "Tell me everything from the beginning."
Q2) When a female Aboriginal patient and a female nurse sit together, the patient often holds the nurse's hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behaviour. Which analysis is most accurate?
A) The patient is accustomed to touch during conversation, as are members of many Aboriginal cultures.
B) The patient understands that touch makes the nurse uncomfortable and controls the relationship based on that factor.
C) The patient is afraid of being alone. When touching the nurse, the patient is reassured and comforted.
D) The patient is trying to manipulate the nurse using nonverbal techniques.
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13
Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23094
Sample Questions
Q1) A patient is brought to the emergency department after a motorcycle accident. The patient is alert and responsive and is diagnosed with a broken leg. The patient's vital signs are pulse (P) 72 and respiration (R) 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
A) P 64, R 14
B) P 68, R 12
C) P 72, R 16
D) P 80, R 20
Q2) A patient tells the nurse, "I will never be happy until I'm as successful as my older sister." The nurse asks the patient to reassess this statement and reframe it. Which reframed statement by the patient is most likely to promote coping?
A) "People should treat me as well as they treat my sister."
B) "I can find contentment in succeeding at my own job level."
C) "I won't be happy until I make as much money as my sister."
D) "Being as smart or clever as my sister isn't really important."
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Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23095
Sample Questions
Q1) A person has minor physical injuries after an auto accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is the person's level of anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic
Q2) The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
A) "I'm sure I will get over not wanting to leave home soon. It takes time."
B) "Being afraid to go out seems ridiculous, but I can't go out the door."
C) "My family says they like it now that I stay home most of the time."
D) "When I have a good incentive to go out, I can do it."
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Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/23096
Sample Questions
Q1) What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?
A) Nutrition and hydration
B) Supporting physiological stability
C) Reducing disorientation and confusion
D) Assisting the patient to identify and test negative thoughts
Q2) A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for which of the following?
A) Feelings of guilt and despair
B) Feelings of over-involvement
C) Feelings of interest and pleasure
D) Feelings of ineffectiveness and frustration
Q3) A patient was diagnosed with seasonal affective disorder (SAD). During which month would this patient's symptoms be most acute?
A) January
B) April
C) June
D) September
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Page 16
Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/23097
Sample Questions
Q1) A patient diagnosed with bipolar disorder will be discharged tomorrow. The patient is taking a mood stabilizing medication. What is the priority nursing intervention for the patient as well as the patient's family during this phase of treatment?
A) Attending psychoeducation sessions
B) Decreasing physical activity
C) Increasing food and fluids
D) Meeting self-care needs
Q2) A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? Select all that apply.
A) Imbalanced nutrition: more than body requirements
B) Disturbed thought processes
C) Sleep deprivation
D) Chronic confusion
E) Social isolation
Q3) Which dinner menu is best suited for a patient with acute mania?
A) Spaghetti and meatballs, salad, and a banana
B) Beef and vegetable stew, a roll, and chocolate pudding
C) Broiled chicken breast on a roll, an ear of corn, and an apple
D) Chicken casserole, green beans, and flavoured gelatin with whipped cream
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Page 17
Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/23098
Sample Questions
Q1) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body merging with the wall. Then my face appears and disappears in the mirror." While listening, the nurse should do which of the following?
A) Sit close to the patient
B) Place an arm protectively around the patient's shoulders
C) Place a hand on the patient's arm and exert light pressure
D) Maintain a normal social interaction distance from the patient
Q2) A patient diagnosed with schizophrenia says, "It's beat. Time to eat. No room for the cat." What type of verbalization is evident?
A) Neologism
B) Idea of reference
C) Thought broadcasting
D) Associative looseness
Q3) Which of the following patient statements implies a hallucination that requires the nurse to implement safety measures?
A) "I hear angels playing harps."
B) "The voices say everyone is trying to kill me."
C) "My dead father tells me I am a good person."
D) "The voices talk only at night when I'm trying to sleep."
Page 18
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Chapter 17: Eating Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23099
Sample Questions
Q1) A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine, downy hair over the trunk. The patient weighs 32 kg; height is 172 cm. The patient says, "I won't eat until I look thin." Select the priority initial nursing diagnosis.
A) Anxiety related to fear of weight gain
B) Disturbed body image related to weight loss
C) Ineffective coping related to lack of conflict resolution skills
D) Imbalanced nutrition: less than body requirements related to self-starvation
Q2) An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 3.5 kg. The nurse should do which of the following?
A) Assess lung sounds and extremities
B) Suggest use of an aerobic exercise program
C) Positively reinforce the patient for the weight gain
D) Establish a higher goal for weight gain the next week
Q3) Which of the following is a complication of bulimia nervosa?
A) Tachycardia
B) Hyperchloremia
C) Hyperkalemia
D) Esophageal tears
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Page 19
Chapter 18: Cognitive Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23100
Sample Questions
Q1) Two patients in a residential care facility have dementia. One shouts to the other, "Move along, you're blocking the road." The other patient turns, shakes a fist, and shouts, "You're trying to steal my car." What is the nurse's best action?
A) Administer one dose of an antipsychotic medication to both patients.
B) Reinforce reality. Say to the patients, "Walk along in the hall. This is not a traffic intersection."
C) Separate and distract the patients. Take one to the day room and the other to an activities area.
D) Step between the two patients and say, "Please quiet down. We do not allow violence here."
Q2) A patient has progressive memory deficits associated with dementia. Which nursing intervention would best help the individual function in the environment?
A) Assist the patient to perform simple tasks by giving step-by-step directions.
B) Reduce frustration by performing activities of daily living for the patient.
C) Stimulate intellectual function by discussing new topics with the patient.
D) Read one story from the newspaper to the patient every day.
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Page 20
Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23101
Sample Questions
Q1) A young woman has been admitted to hospital for use of room deodorizers as inhalants. Which is a sign of intoxication from inhaling volatile nitrites such as room deodorizers?
A) Flushing
B) Hallucinations
C) Slurred speech
D) Enhancement of sexual pleasure
Q2) Which features should be present in a therapeutic milieu for a patient with a hallucinogen overdose?
A) Simple and safe
B) Active and bright
C) Stimulating and colourful
D) Confrontational and challenging
Q3) Which of the following symptoms of withdrawal from opioids should the nurse assess?
A) Dilated pupils, tachycardia, elevated blood pressure, and elation
B) Nausea, vomiting, diaphoresis, anxiety, and hyperreflexia
C) Mood lability, incoordination, fever, and drowsiness
D) Excessive eating, constipation, and headache
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Page 21
Chapter 20: Personality Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23102
Sample Questions
Q1) Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is effective?
A) "I think you are the best nurse on the unit."
B) "I'm never going to get high on drugs again."
C) "I felt empty and wanted to hurt myself, so I called you."
D) "I hate my mother. I called her today, and she wasn't home."
Q2) For which patients diagnosed with personality disorders would a family history of similar problems be most likely? Select all that apply.
A) Obsessive-compulsive
B) Antisocial
C) Borderline
D) Schizotypal
E) Narcissistic
Q3) What is the priority intervention for a nurse beginning to work with a patient diagnosed with a schizotypal personality disorder?
A) Respect the patient's need for periods of social isolation.
B) Prevent the patient from violating the nurse's rights.
C) Teach the patient how to select clothing for outings.
D) Engage the patient in community activities.
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Page 22
Chapter 21: Sleep Wake Disorders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23103
Sample Questions
Q1) A patient says, "I have trouble falling asleep at night and might lie awake until 3 or 4 a.m. before falling sleep." Which medication would the nurse expect a health care provider to prescribe for this patient?
A) Triazolam
B) Flurazepam (Dalmane)
C) Risperidone (Risperdal)
D) Methylphenidate (Ritalin)
Q2) A patient reports, "The medicine prescribed to help me get to sleep worked well for about a month, but I don't have any more of those pills, and now my insomnia is worse than ever. I had nightmares the last 2 nights." Which type of medication did the health care provider most likely prescribe?
A) Hypnotic
B) Tricyclic antidepressant
C) Conventional antipsychotic
D) Central nervous system stimulant
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23
Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which characteristic fits the usual profile of an individual diagnosed with pedophilic disorder?
A) Homosexual
B) Ritualistic behaviours
C) Seeks access to children
D) Self-confident professional
Q2) An adult seeks treatment for urges involving sexual contact with children. The adult has not acted on these urges but feels shame. Which finding best indicates that this adult is making progress in treatment?
A) The adult consistently avoids schools and shops at malls only during school hours.
B) The adult indicates sexual drive and enjoyment from sex have decreased.
C) The adult reports an active and satisfying sex life with an adult partner.
D) The adult volunteers to become a scout troop leader.
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24
Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23105
Sample Questions
Q1) A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment would be most therapeutic?
A) "I'm wondering if you're feeling anxious about your illness and being left alone."
B) "The staff are concerned that you are not satisfied with the care you are receiving."
C) "Let's talk about why you use your call bell so frequently. It is a problem."
D) "You frustrate the staff by calling them so often. Why are you doing that?"
Q2) Which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively?
A) Flooding
B) Response prevention
C) Relaxation techniques
D) Systematic desensitization
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Page 25
Chapter 24: Crisis and Disaster
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23106
Sample Questions
Q1) Which scenario is an example of an adventitious crisis?
A) The death of a child from sudden infant death syndrome
B) Being fired from a job because of company downsizing
C) Retirement of a 55-year-old person
D) A riot at a rock concert
Q2) During the initial interview at the crisis centre, a patient says, "I've been served with divorce papers. I'm so upset and anxious that I can't think clearly." Which comment should the nurse use to assess personal coping skills?
A) "In the past, how have you handled difficult or stressful situations?"
B) "What would you like us to do to help you feel more relaxed?"
C) "Tell me more about how it feels to be anxious and upset."
D) "Can you describe your role in the marital relationship?"
Q3) Which agency plays a major role in mass disaster planning and prevention?
A) Health Canada
B) Provincial or territorial disaster management agencies
C) National Incident Management System
D) Federal Emergency Management Agency
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Chapter 25: Suicide
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23107
Sample Questions
Q1) Which individual in the emergency department should be considered at highest risk for completing suicide?
A) An adolescent girl with superior athletic and academic skills who has asthma
B) A 38-year-old single female church member with fibrocystic breast disease
C) A 60-year-old married man with twelve grandchildren who has type 2 diabetes
D) A 79-year-old single, White male diagnosed recently with terminal cancer of the prostate
Q2) Which measure would be considered a form of primary intervention for suicide?
A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient
Q3) Which nursing interventions will be implemented for a patient who is actively suicidal? Select all that apply.
A) Maintain arm's-length, one-on-one direct observation at all times.
B) Check all items brought by visitors and remove risk items.
C) Use plastic eating utensils; count utensils upon collection.
D) Remove the patient's eyeglasses to prevent self-injury.
E) Interact with the patient every 15 minutes.
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Page 27
Chapter 26: Anger, Aggression, and Violence
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23108
Sample Questions
Q1) Which assessment finding presents the greatest risk for violent behaviour directed at others?
A) Severe agoraphobia
B) Substance abuse disorder
C) Bizarre somatic delusions
D) Verbalized hopelessness and powerlessness
Q2) A patient with a history of anger and impulsivity was hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolded nursing staff for "not knowing enough to give me pain medicine when I need it." Which nursing intervention would best address this problem?
A) Teach the patient to use coping strategies such as deep breathing and progressive relaxation to reduce the pain.
B) Talk with the health care provider about changing the pain medication from PRN to patient-controlled analgesia.
C) Tell the patient that verbal assaults on nurses will not shorten the wait for analgesic medication.
D) Talk with the patient about the risks of dependency associated with overuse of analgesic medication.
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28
Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23109
Sample Questions
Q1) A patient tells the nurse, "My husband lost his job. He's abusive only when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me." What risk factor was most predictive for the husband to become abusive?
A) History of family violence
B) Loss of employment
C) Abuse of alcohol
D) Poverty
Q2) A 10-year-old cares for siblings while the parents work because the family cannot afford a babysitter. This child says, "My father doesn't like me. He calls me stupid all the time." The mother says the father is easily frustrated and has trouble disciplining the children. The community health nurse should consider which resources as priorities to stabilize the home situation? Select all that apply.
A) Parental sessions to teach childrearing practices
B) Anger management counselling for the father
C) Continuing home visits to give support
D) A safety plan for the wife and children
E) Placing the children in foster care
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Chapter 28: Sexual Assault
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) A victim of a violent rape was treated in the emergency department. As discharge preparation begins, the victim says softly, "I will never be the same again. I can't face my friends. There is no reason to go on." Select the nurse's most appropriate response.
A) "Are you thinking of harming yourself?"
B) "It will take time, but you will feel the same as before the attack."
C) "Your friends will understand when you explain it was not your fault."
D) "You will be able to find meaning from this experience as time goes on."
Q2) Where do the majority of sexual assaults occur?
A) Private home
B) City street at night
C) Commercial establishment
D) Person's own motor vehicle
Q3) The nursing diagnosis Rape-trauma syndrome applies to a rape victim in the emergency department. Select the most appropriate outcome to achieve before discharging the patient.
A) The memory of the rape is less vivid and less frightening.
B) The patient is able to describe feelings of safety and relaxation.
C) Symptoms of pain, discomfort, and anxiety are no longer present.
D) The patient agrees to a follow-up appointment with a rape victim advocate.
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Page 30
Chapter 29: Disorders of Children and Adolescents
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) A child diagnosed with attention deficit-hyperactivity disorder will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?
A) Psychostimulants
B) Tricyclic antidepressants
C) Antipsychotics
D) Anxiolytics
Q2) A child diagnosed with attention deficit-hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine (Adderall XR). For which desired behaviour should the nurse monitor?
A) Increased expressiveness in communication with others
B) Abilities to identify anxiety and implement self-control strategies
C) Improved ability to participate in cooperative play with other children
D) Ability to tolerate social interactions for short periods without disruption or frustration
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Chapter 30: Psychosocial Needs of the Older Adult
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A patient living in community housing for the elderly says, "I don't go to the senior citizens club. They play cards and talk about the past because that's all they can do." The nurse analyzes these remarks to represent which of the following:
A) Failure to achieve developmental tasks
B) Thinking associated with ageism
C) Hypercritical behaviour
D) Paranoid thinking
Q2) A nurse and social worker co-lead a reminiscence group for eight elite-old adults. Which activity is appropriate to include in the group?
A) Mild aerobic exercise
B) Singing a song from World War II
C) Discussing national leadership during the Vietnam War
D) Identifying the most troubling story in today's newspaper
Q3) For which of the following reasons is it difficult to diagnosis alcohol abuse in the older adult?
A) They have built up an alcohol tolerance.
B) They remain alone a lot of time.
C) Personality changes are frequently unrecognized.
D) It is usually masked by mental illness.
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Page 32
Chapter 31: Living With Recurrent and Persistent Mental Illness
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) The parent of a seriously mentally ill adult asks the nurse, "Why are you making a referral to a vocational rehabilitation program? My child won't ever be able to hold a job."
Which is the nurse's best reply?
A) "We make this referral to continue eligibility for federal funding."
B) "Are you concerned that we're trying to make your child too independent?"
C) "If you think the program would be detrimental, we can postpone it for a time."
D) "Most patients are capable of employment at some level, competitive or supported."
Q2) The nurse manager of a mental health centre wants to improve medication adherence among the seriously mentally ill persons treated there. Which interventions are likely to help achieve this goal? Select all that apply.
A) Maintain stable and consistent staff.
B) Increase the length of medication education groups.
C) Stress that without treatment, illnesses will worsen.
D) Prescribe drugs in smaller but more frequent dosages.
E) Actively manage adverse medication effects.
F) Require adherence in order to participate in programming.
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Page 33
Chapter 32: Psychological Needs of Patients With Medical Conditions
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Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A patient hospitalized after an MI is restlessly moving about in bed. Her pulse, blood pressure, and respiratory rate are elevated. In a shaky voice, she tells the nurse, "I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?" Place the nursing interventions in the order that would make them most therapeutic.
A) "I want you to breathe slowly with me, counting to 3 as you breathe in and again as you breathe out. I think this will help, but if not, I'll call your doctor."
B) "You seem very anxious, which is understandable. Your vital signs are up a bit because you are anxious, not because there is a problem with your heart."
C) "We are watching you very closely via the monitors and will be here in moments if there is a problem, so you can rest easy now, knowing we are watching over you."
D) "A heart attack can be a very frightening experience. Would you like to talk about it with me for a while?"
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Page 34
Chapter 33: Care for the Dying and for Those Who Grieve
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Sample Questions
Q1) Family members of a dying patient ask the nurse, "What can we say when our loved one says, 'Death is coming soon?'" To promote communication, which response could the nurse suggest for family members?
A) "We feel sad when we think about life without you."
B) "We have not given up on getting you well."
C) "We think you will be around for a long time yet."
D) "Let's talk about the good memories we have."
Q2) Which statements demonstrate aspects of spirituality in end-of-life care? Select all that apply.
A) Expressing an inner peace.
B) The desire to talk about hopes and fears.
C) Reciprocal sharing with the nurse.
D) Attending to the meaning in suffering.
E) Trust in the health care provider for symptom relief.
Q3) Which is considered the hallmark of hospice palliative care?
A) Available in the patients' home.
B) Excellent symptom management.
C) Family-centred approach to health decisions.
D) Based on culturally sensitive nursing care.
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Page 35
Chapter 34: Forensic Psychiatric Nursing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) Which Correctional Service Canada treatment setting would necessitate the most restrictive care environment?
A) Institutional health unit
B) Reception centre
C) Regional treatment centre
D) Regional hospital
Q2) A correctional nurse plans a health education series for male prison inmates based upon the greatest likelihood of experiencing which mental health disorder while incarcerated?
A) Mood disorder
B) Schizophrenia
C) Hallucinations
D) Bipolar disease
Q3) The highest degree of credibility is required by a nurse who provides testimony before the court as which of the following?
A) Hostile witness
B) Expert witness
C) Correctional nurse
D) Critical care nurse
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Page 36
Chapter 35: Therapeutic Groups
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) A leader plans to start a new self-esteem building group. Which intervention would be most helpful for assuring mutual respect within the group?
A) Describe the importance of mutual respect in the first session and make it a group norm.
B) Exclude potential members whose behaviour suggests they are likely to be disrespectful.
C) Give members a brochure describing the purpose, norms, and expectations of the group.
D) Explain that mutual respect is expected and confront those who are not respectful.
Q2) A nurse at the well-child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
A) Support
B) Socialization
C) Health education
D) Symptom management
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Chapter 36: Family Interventions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) Parents of a mentally ill teenager say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Select the nurse's most helpful intervention.
A) Refer the parents to a support group.
B) Build the parents' self-concept as coping parents.
C) Teach the parents techniques of therapeutic communication.
D) Facilitate achievement of normal developmental tasks of the family.
Q2) Two divorced people plan to marry. The man has a teenager, and the woman has a toddler. This family will benefit most from which of the following?
A) Role-playing opportunities for conflict resolution regarding discipline
B) Guidance about parenting children at two developmental levels
C) Formal teaching about problem-solving skills
D) Referral to a family therapist
Q3) Select the best question for the nurse to ask to assess a family's ability to cope.
A) "What strengths does your family have?"
B) "Do you think your family copes effectively?"
C) "Describe how you successfully handled one family problem."
D) "How do you think the current family problem should be resolved?"
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) For patients with which co-morbid diagnosis would it be most important for the nurse to urge immediate discontinuation of kava kava?
A) Cirrhosis
B) Osteoarthritis
C) Multiple sclerosis
D) Chronic back pain
Q2) A patient with a history of asthma says, "I've been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results." Select the nurse's best action.
A) Support the patient's efforts to become informed and to find health solutions.
B) Suggest the patient check with friends who have tried aromatherapy for treatment of anxiety.
C) Remind the patient, "If you spend that much on oils, you may not be able to buy your prescribed medication."
D) Tell the patient, "Aromatherapy can complicate respiratory problems such as asthma. Let's consider some other options."
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